tbuckley/cabot-search huggingface dataset:
Efficiency and safety of nasal positive airway pressure systems during endoscopic procedures in high risk patients. Endo-Breath-Study
Authors: B. Walter, F. Küchler, E. Kavallari, M. Müller, T. Seufferlein, A. Kalner
Journal: Endoscopy (2023)

Aims Sedation of high-risk patients resemble a relevant issue in interventional endoscopy. This especially because standard oxymetric monitoring displays only hypoxia and not the preceding hypercapnia. Therefore, the question arises whether the implication of a nasal positive airway pressure (nPAP) system can decrease the rate of sedation associated events.
Endoscopic papillectomy: a multicenter, retrospective, nationwide study after the standardization of the technique
Authors: C. Binda, S. Fabbri, A. Cucchetti, M. Mutignani, A. Tringali, R. Di Mitri, A. Fugazza, R. Sassatelli, A. Gabbrielli, P. Arcidiacono, F. M. Di Matteo, C. Coluccio, M. Di Marco, C. Spada, A. Fantin, C. G. De Angelis, R. Macchiarelli, F. Perri, M. Manno, L. Cugia, A. Mussetto, L. Dioscoridi, T. Schepis, D. Scimeca, L. Da Rio, P. Cecinato, S. F. Crinò, A. Repici, I. Tarantino, A. Anderloni, C. Fabbri, G. I-Eus
Journal: Endoscopy (2023)

Aims Endoscopic papillectomy (EP) is the gold standard of treatment for ampullary adenomas. However, the data supporting EP outcomes derive from multiple retrospective studies, that included procedure mostly performed before 2015, when first guidelines on this technique were published. This is probably why among studies a large variability in patient selection and endoscopic techniques is present, resulting in heterogenous outcomes. Therefore, the aim of our study is to provide data on the efficacy and safety of this technique, by including consecutive patients treated after the standardization of this technique [1] [2] [3] [4] [5] [6].
Underwater Endoscopic Mucosal Resection For En Bloc Resection of Neuroendocrine Tumours
Authors: A. Flandes Iparraguirre, A. Santos Rodríguez, E. Poves Martínez
Journal: Endoscopy (2023)

Abstract Text Neuroendocrine tumours (NETs) have malignant potential and are typically located in the rectum [1]. Guidelines suggest endoscopic removal in lessions <10 mm, but the use of underwater endoscopic mucosal resection (UEMR) is not considered in this scenario [2].
A new tool for rapid evaluation of endoscopic ultrasound through the needle biopsy in pancreatic cystic neoplasm: a pilot study
Authors: S. Stigliano, G. Marocchi, A. Crescenzi, C. Taffon, M. Verri, F. M. Di Matteo
Journal: Endoscopy (2023)

Aims Fluorescence Confocal Laser Microscopy (FCM) allows imaging of tissues in the fresh state, requiring minimal preparation without damage or loss of tissue. We aimed to assess the feasibility of FCM with MAVIG VivaScope microscope on EUS-TTNB fragment and to assess the concordance between the diagnosis with VivaScope and the standard technique.
Serrated Polyposis Syndrome: a diagnostic challenge
Authors: M. J. Temido, J. Gama, A. R. Graça, R. Caetano Oliveira, E. Gravito-Soares, M. Gravito-Soares, P. Amaro, P. Figueiredo
Journal: Endoscopy (2023)

Aims We aimed to assess the prevalence, features and the rate of missed diagnosis of Serrated Polyposis Syndrome (SPS) in patients submitted to polypectomy in a tertiary hospital.
ERCP – “Water Exchange” as the Key for the Canulation of an Intradiverticular Papilla
Authors: D. B. Moura, N. Nunes, F. Côrte-Real, C. Chálim Rebelo, M. Flor De Lima, F. Taveira, M. P. Costa Santos, V. Costa Santos, A. C. Rego, J. R. Pereira, N. Paz, M. A. Duarte
Journal: Endoscopy (2023)

Abstract Text Male patient, 71 years old, admitted due to biliary acute pancreatitis. Severe cholangitis and sepsis developed, requiring urgent ERCP. Canulation was not possible due to an intradiverticular papilla. A second attempt at ERCP was performed. Papilla exposure using the water exchange method. Needle-knife pre-cut followed by canulation. Balloon sweeping retrieved pus. A plastic stent was placed. Favorable evolution. Localization of the papilla in a diverticulum lowers the canulation sucess rate. The use of the water exchange method consists in the introduction of water in the diverticulum to manipulate its position and allow the exposure of the papilla. We present an innovative technique to be used in the future [1] [2].
Extraction of migrated biliary stent assisted by Cholangioscopy
Authors: A. Martins Pinto da Costa, B. Agudo Castillo, C. Santos Cotes, E. Santos Pérez, C. Esteban Fernández-Zarza, M. González-Haba Ruiz
Journal: Endoscopy (2023)

Abstract Text A 72-year-old woman was diagnosed with large choledocholithiasis (17 mm). ERCP was performed without achieving stone extraction so a plastic stent was placed and patient was scheduled for a second ERCP, which she missed. 6 months later, she was admitted for acute cholangitis. ERCP was performed showing proximal stent migration. After failure of conventional removal methods, direct stent canulation using cholangioscopy and a 0.035mm guidewire was achieved followed by uneventful removal with extraction balloon and loop. Proximal migration of biliary stents is rare and its removal challenging. Cholangioscopy is a useful tool for cases where the conventional extraction techniques fail.
Percutaneous single operator cholangioscopy-assisted ERCP in a patient with surgically altered anatomy
Authors: A. Papaefthymiou, K. Basiliya, G. Webster
Journal: Endoscopy (2023)

Abstract Text Biliary access in surgically altered anatomy is challenging. We present a case of a 67 years old man who presented with symptomatic large common bile duct (CBD) stones and a background of Billroth II partial gastrectomy. Access to the afferent loop was achieved with conventional duodenoscope, but this did not allow an adequate position for stone clearance using advanced techniques. Percutaneous single operator cholangioscopy (pSOC) allowed targeted lithotripsy, but stone fragments could not be removed. Therefore, we used pSOC to guide the duodenoscope to an optimal duodenal position, with complete stone clearance achieved through a combined anterograde and retrograde approach.
Melanotic macule in the eshophageal body. Diagnostic and prognostic implications
Authors: J. Pérez Pérez, J. Escobar Ortiz, M. Roldán Fernández, S. Tirado, J. Bernal Jorquera, A. Martinez-Alcalá, P. D. Angel
Journal: Endoscopy (2023)

Abstract Text We performed a gastroscopy to a 55-year-old woman. During the gastroscopy we observed millimeter and flat blackish areas 25-27 cm from the dental arch. Biopsies were taken from these areas. The esophageal pathology study describes the esophageal squamous mucosa with pigmentation compatible with a melanotic macula [1] [2] [3].
Endoscopic cholecystolithotomy using Holmium laser after EUS-guided gallbladder drainage – a case report
Authors: S. Cocca, M. Lupo, R. Conigliaro, M. Gottin, E. Difeo, S. Russo, G. Grande, H. Bertani, M. Santi
Journal: Endoscopy (2023)

Abstract Text An 86-year-old woman was admitted with fever and vomiting.CT scan showed an acute cholecystitis complicated by a large liver abscess. Since the patient was unfit for surgery, an EUS-guided GB drainage was performed with a trans-gastric approach using a 15 mm Hot AXIOS Stent.A follow up CT scan showed a size reduction of the abscess and a residual gallstone next to the LAMS. At the endoscopic evaluation the LAMS was completely occluded by the residual stone. Endoscopic lithotripsy was performed using Holmium laser (HL). After accessing through the fistula, the HL split the stone in smaller fragments. Therefore HL after EUS-guided GBD should enter the shortlist of treatments in frail patients with gallstones [1] [2] [3].
An uncommon case of pancreatic metastasis
Authors: M. T. Staiano, E. Dall'Amico, D. Simone, M. Gesualdo, M. Sacco, F. Fimiano, A. Mauriello, F. Castellano, C. G. De Angelis
Journal: Endoscopy (2023)

Abstract Text We report a case of a 76-years-old woman affected by small cell lung cancer (SCLC) metastatic to mediastinal lymph nodes; after chemotherapy and radiotherapy the disease was stabile until she presented jaundice with CT evidence of an obstructive mass in pancreatic head. At endoscopic ultrasound plus e-flow, contrast-enhanced harmonic EUS and sonoelastography the mass showed typical morphologic and vascular features of neuroendocrine tumours. Pancreas can rarely be a metastatic site of a primitive SCLC: in this case EUS plus CH-EUS, e-flow and elastography well characterized the mass even before EUS-FNB revealed the histological diagnosis of neuroendocrine carcinome [1].
Global incidence and prevalence of eosinophilic esophagitis
Authors: J. W. Hahn, K. Lee, J. I. Shin, S. H. Cho, S. Turner, J. U. Shin, N. Papadopoulos, A. O. Yeniova, A. Koyanagi, L. Smith, G. Fond, S. W. Lee, D. K. Yon, J. S. Moon, J. S. Ko
Journal: Endoscopy (2023)

Aims This study aimed to describe global, regional, and national trends in the incidence and prevalence of EoE from 1976 to 2021, and analyze their associations with geographic, demographic, and social factors through a systematic review.
Development of a combined deep learning model for automatic detection of multiple gastrointestinal lesions in device-assisted enteroscopy using convolutional neural networks
Authors: T. Ribeiro, M. Mascarenhas, A. João, C. Pedro, C. Hélder, F. João, A. Patrícia, M. Guilherme
Journal: Endoscopy (2023)

Aims Device-assisted enteroscopy (DAE) allows deep exploration of the gastrointestinal (GI) tract, combining its diagnostic ability and the application of endoscopic therapy. Recently, a large number of studies have been published regarding the application of artificial intelligence (AI) to different endoscopic modalities. We aimed to develop a combined panenteric convolutional neural network (CNN) to identify multiple gastrointestinal lesions using DAE images ([Table 1]).
Development and Validation of ColonCAD – an artificial intelligence platform for the automatic segmentation, detection and classification of colon polyps
Authors: I. Tarrio, M. Moreira, D. Fernandes, P. F. Silva, T. Araújo, L. Lopes
Journal: Endoscopy (2023)

Aims Colorectal cancer is the 3rd most prevalent and 2nd deadliest worldwide, so that an efficient screening is essential. The ColonCAD project aims to and Artificial Intelligence based system, that allows the automatic segmentation, detection, and classification (SD&C) of colon polyps. We aimed to assess ColonCAD's accuracy in the SD&C of polyps in colonoscopy images.
Endoscopic suturing in the upper gastrointestinal tract: A UK case series
Authors: N. Aslam, B. Norton, A. Telese, V. Sehgal, D. Graham, L. Lovat, R. Haidry
Journal: Endoscopy (2023)

Aims Endoscopic suturing offers a novel minimally invasive technique for deploying full thickness sutures in the gastrointestinal (GI) tract. Here we report our experience of endoscopic suturing for non-bariatric applications using the Apollo OverStitch device.
Endoscopic Follow-up Of Radically Resected Submucosal Adenocarcinoma In Barrett’s Esophagus: Interim Results Of An Ongoing Prospective, International, Multicenter Cohort Registry (PREFER Trial)
Authors: M. W. Chan, E. Nieuwenhuis, M. Jansen, A. Koch, M.C. W. Spaander, W. B. Nagengast, J. Westerhof, R. Bisschops, G. De Hertogh, M. J. Bourke, H. Neuhaus, B. Weusten, A. Alkhalaf, O. Pech, S. Seewald, R. Haidry, C. Schlag, E. J. Schoon, M.H.M. G. Houben, D. De Wulf, H. Messmann, P. Dewint, S. L. Meijer, J.J.G.H. M. Bergman, R. E. Pouw
Journal: Endoscopy (2023)

Aims Current guidelines advise esophagectomy for submucosal esophageal adenocarcinoma (T1b EAC). Our aim is to evaluate the safety of a watchful waiting strategy with regular endoscopic FU as an alternative in patients treated endoscopically for T1b EAC.
Cost and resource analysis of endoscopic submucosal dissection: Results of the German ESD Registry
Authors: D. A. Roser, C. Fleischmann, A. Probst, A. Ebigbo, S. Faiss, B. Schumacher, H. P. Allgaier, F. L. Dumoulin, I. Steinbrück, M. Anzinger, J. Marienhagen, A. Muzalyova, H. Messmann
Journal: Endoscopy (2023)

Aims Endoscopic submucosal dissection (ESD) is an effective procedure for resection of early neoplasias of the gastrointestinal tract. Data on the costs and resources involved in ESD in Europe are lacking. The aim of the study was to analyze the cost of ESD procedures based on data from the German ESD registry.
Efficacy and safety of Hybrid Argon Plasma Coagulation technique in patients with Barrett’s esophagus-related dysplasia: a multicenter italian prospective study initial results
Authors: R. Maselli, D. Massimi, A. Capogreco, G. Andrisani, F. M. Di Matteo, S. Pecere, C. Spada, M. A. La Terra, F. Coppola, C. Hassan, A. Repici
Journal: Endoscopy (2023)

Aims Preliminary data from a prospective, single-arm, multicenter observational study to evaluate the initial treatment success of the Hybrid-APC (H-APC) technique, which combines argon plasma coagulation (APC) with a previous saline injection for ablation therapy of neoplastic Barrett's esophagus (BE).
Interest of upper endoscopy in the etiological assessment of iron deficiency anemia: About 160 cases
Authors: M. bouzelfa, B. H. Sonia, M. Ben Hamida, B. Awatef, S. Bouaziz, E. Hanen, C. Imed
Journal: Endoscopy (2023)

Aims Iron-deficiency anemia is one of the most common causes of chronic anemia, which affects around 15 to 30% of the world's population. Digestive bleeding and malabsorption are the most common causes, thus requiring systematic endoscopic exploration as part of the etiological assessment. The aim of our study is to evaluate the contribution of upper endoscopy in the etiological diagnosis of anemia.
Use of fully covered self-expandable metal stents in management of difficult common bile duct stones: a case series
Authors: N. Zaragoza Velasco, M. Alburquerque Miranda, I. Miguel Salas, E. Pijoan Comas, D. C. Bayas Pástor, D. Vazquez Gomez, A. L. Vargas García, I. Pascual, N. Torres Monclus, M. Planella De Rubinat, F. González-Huix Lladó
Journal: Endoscopy (2023)

Aims Difficult common bile duct stones (dCBDs) often require repeated attempts and advanced techniques for their extraction. Fully covered self-expandable metal biliary stents (SEMSc) could make easier this clearance especially when the bile duct is tapered. AIM: To describe the effect of SEMSc placement on CBD anatomy and its impact on complete clearance of dCBDs during second ERCP.
Esophageal stricture after a circumferential endoscopic submucosal dissection: a not so evident cause
Authors: V. Busto, E. Albéniz, P. Salmon, M. Eizaguirre, J. Urman, I. Areste, S. Peralta, M. Gómez, F. Estremera, J. J. Vila
Journal: Endoscopy (2023)

Abstract Text A 65-year-old male treated with Ibrutinib underwent an extensive endoscopic submucosal dissection (ESD) for Barrett´s esophagus C11M12 with high grade dysplasia. Steroid treatment was initiated. Four weeks after the ESD healthy ongoing re-epithelialization was confirmed, but at 3 months the mucosa was highly inflamed and a significant stricture appeared. Ibrutinib could not be withdrawn. Despite steroid therapy and 4 balloon dilation sessions the inflammation and the stricture persisted. Finally, two biodegradable stents were used over a year, with good result. Conclusion: systemic therapy with Ibrutinib (and maybe other antineoplastic agents) can hamper mucosal healing and increase the risk of stricture after extensive esophageal ESD.
Validation of a protocol-based approach for endoscopic management of common bile duct stones (CBDS)
Authors: J. Y. Bang, U. Navaneethan, C. M. Wilcox, R. Hawes, S. Varadarajulu
Journal: Endoscopy (2023)

Aims Despite being practiced for 45 years, approach to endoscopic management of CBDS has not been standardized. We prospectively examined outcomes of predetermined ERCP protocol.
1L polyethylene glycol (PEG) plus ascorbic acid (ASC) bowel preparation is effective and well tolerated in obese patients in the real-world setting
Authors: S. Machlab, F. Sábado, M. A. Pantaleón, C. Arieira, J. Cotter, A. López Cano, B. Gómez Rodríguez, F. Akriche, C. Turbi Disla
Journal: Endoscopy (2023)

Aims To evaluate the effectiveness and safety of 1LPEG + ASC in obese patients included in a real-world study.
EUS Guided Coiling and Glue Injection of Large Duodenal Varices: Playing with Fire
Authors: R. Chavan, S. Rajput
Journal: Endoscopy (2023)

Abstract Text Ectopic varices are uncommon and accounts for 5 % of variceal bleeding with very high mortality (40%). Duodenum is commonest site for ectopic varices. There are no guidelines to treat ectopic varices and usually treated with endoscopic banding or sclerotherapy. Rebleeding rate after endotherapy is very high (20%) and may necessitate TIPS or BRTO. In this video, we have demonstrated feasibility and safety of endoscopic ultrasound (EUS) guided embolization of duodenal varices in a 42 year male who was presented with massive upper GI bleeding from large ectopic duodenal (3rd part) varix.
3-years follow-up of intraductal radiofrequency ablation for persistent dysplasia after endoscopic ampullectomy
Authors: S. Leblanc, A. Lisotti, F. Fumex, R. Gincul, V. Lepilliez, B. Napoleon
Journal: Endoscopy (2023)

Aims After endoscopic ampullectomy, intraductal adenoma may persist and radiofrequency ablation (ID-RFA) is a potential alternative to ovoid surgery1, but long-term results are unknown. The aim of this study was to evaluate 3-years follow-up after ID-RFA.
The diagnostic efficacy of Endoscopic Ultrasound in gastric outlet obstruction
Authors: M. Schechter, A. Dancour
Journal: Endoscopy (2023)

Aims Determining the cause of gastro-duodenal outlet obstruction from duodenal stricture can be challenging. Endoscopic diagnosis is limited to luminal pathology and may be further impeded by inability to pass tight stricture. Cross-axial imaging can visualize extraluminal pathology, but have limitations, as well as inability to provide tissue diagnosis. We report 8 cases where endoscopic ultrasound (EUS), with or without fine-needle biopsy (FNB), was employed to reach a conclusive diagnosis, unattainable from other modalities, which would have otherwise required exploratory or perhaps unnecessary surgery.
Performance and safety of percutaneous cholangioscopy: a systematic review and meta-analysis
Authors: A. Papaefthymiou, P. Gkolfakis, K. Basiliya, A. Facciorusso, S. Phillpotts, G. Webster
Journal: Endoscopy (2023)

Aims There has been an increasing trend towards percutaneous cholangioscopy (PerC) use, especially in patients with surgically altered anatomy. This systematic review with meta-analysis aims to evaluate the cumulative performance of this technique in approaching and treating biliary disease.
Advance Imaging Techniques Associated with EUS vs EUS-guided Sampling in the Differential Diagnosis of Solid Pancreatic Tumors: Analysis of a Prospective EUS Registry
Authors: J. Iglesias-Garcia, L. Gonzalez-Peñas, D. De La Iglesia-Garcia, J. Lariño-Noia, I. Abdulkader-Nallib, H. Lazare-Iglesias, Y. Dominguez-Novoa, J. E. Dominguez-Muñoz
Journal: Endoscopy (2023)

Aims To evaluate the accuracy of EUS-guided advanced imaging (AI) vs EUS-guided sampling for the evaluation of malignancy in solid pancreatic tumors (SPT)
Interventional EUS (i-EUS) in the management of biliary complications of deceased-donor orthotopic liver transplantation (OLT) not amenable to ERCP
Authors: E. Fuentes-Valenzuela, M. De Benito Sanz, I. Peñas Herrero, C. Alonso Martin, C. Almohalla ÁLvarez, F. García-Pajares, R. Sánchez-Ocaña, G. Sánchez Antolín, C. De La Serna-Higuera, M. Perez-Miranda
Journal: Endoscopy (2023)

Aims Primary, technical success; Secondary, short (30 days) and long-term (symptom resolution without surgery/PTBD/indwelling stents) clinical success, and adverse events (AEs).
Gastric Per-Oral Endoscopic Myotomy (G-POEM) In Patients with Gastric Neurostimulator (GNS): The First Multicenter Experience
Authors: Y. Ichkhanian, M. Al-Haddad, R. Kim, L. D'souza, J. Yang, M. A. Khashab, C. Piraka
Journal: Endoscopy (2023)

Aims We aimed to investigate the safety and clinical outcomes of Gastric per-oral endoscopic myotomy (G-POEM) in refractory gastroparesis in patients with gastric neurostimulation (GNS).
Comparative Diagnostic Performance of Different Techniques for Endoscopic Ultrasound-Guided Fine-Needle Biopsy of Solid Pancreatic Masses: A Network Meta-analysis
Authors: A. Facciorusso, S. F. Crinò, D. Ramai, D. Madhu, A. Fugazza, S. Carrara, M. Spadaccini, B. Mangiavillano, P. Gkolfakis, B. P. Mohan, C. Hassan, A. Repici
Journal: Endoscopy (2023)

Aims There is limited evidence on the comparative diagnostic performance of tissue sampling techniques for endoscopic ultrasound (EUS)-guided fine-needle biopsy (FNB) of pancreatic masses. We performed a systematic review with network meta-analysis to compare these techniques.
A “sugar-coated” problem: elevated hemoglobin A1c levels are associated with prolonged gastric transit time in diabetic patients undergoing capsule endoscopy
Authors: V. Macedo Silva, A. I. Ferreira, T. Lima Capela, C. Arieira, S. Xavier, P. Boal Carvalho, M. J. Moreira, B. Rosa, J. Cotter
Journal: Endoscopy (2023)

Aims Gastroparesis is common in patients with Diabetes mellitus, especially in those with poor glycemic control. Due to this association, diabetic patients are at risk of prolonged gastric transit time (PGTT) when undergoing small-bowel capsule endoscopy (SBCE). In this investigation we aimed to assess if there was an association between hemoglobin A1c levels and PGTT in diabetic patients undergoing SBCE.
Application of the modified ALDRETE score in the assessment of resuscitation after gastrointestinal endoscopy: preliminary results of a randomized clinical trial
Authors: E. Kyvelou, G. Tziatzios, N. Mathou, A. Giannakopoulos, P. Gkolfakis, V. Papastergiou, S. Petraki, K. Glezou, M. Kahtsidou, K. Paraskeva, A. Vezakis, I. Vlachogianonakos, G. Karamanolis
Journal: Endoscopy (2023)

Aims The modified ALDRETE score evaluates recovery of patients after administration of anesthesia for surgical procedures. Aim of this study is to evaluate application of the modified ALDRETE score in monitoring of patients after undertaking gastrointestinal endoscopy procedure.
EUS-guided gallbladder drainage (EUS-GBD) in an elderly patient with voluminous gallstone. What about the future?
Authors: F. Fimiano, C. Canalis, A. Mauriello, M. T. Staiano, E. Dall'Amico, F. Castellano, M. Gesualdo, W. V. Debernardi, M. Sacco, C. G. De Angelis
Journal: Endoscopy (2023)

Abstract Text We present an 85 years-old-man case with abdominal pain, fever and elevation of inflammatory serum markers. He performed Abdominal-US and CT that showed acute cholecystitis and gallbladder entirely inhabited by stones. Patient was unfit for surgery; thus EUS-GBD was planned. After procedure there was a clinical improvement. Therefore, EUS-GBD with no fluid gallbladder and voluminous gallstone could be technically unfeasible. Stone mobilization could create the adequate space for LAMS releasing. In a frail patient the approach should be tailored in terms of LAMS removal or not, timing of LAMS removal, indication to cholecystolithotomy and/or cholecystolithotripsy.
Endoscopic suturing in colorrectal anastomotic leakage closure
Authors: B. Merchán Gómez, M. T. Herraiz Bayod, C. M. Prieto De Frías, C. Pastor Idoate, F. Boria Alegre, M. T. Alonso Sierra, S. González Vázquez, G. Castillo López, J. M. Riesco López
Journal: Endoscopy (2023)

Abstract Text Endoscopic suturing is a novel treatment in colorectal anastomotic leakage offering a minimal invasive alternative to surgery. When clinically suspected, CT-scan was performed to detect the leakage and collection. They were later confirmed by contrast injection during the colonoscopy. A pig-tail stent was placed to drain the associated collection, guided by endoscopic and radiologic image and withdrawn after resolution in CT-scan. The margins of the wall defect were refresh with argon plasma and sutures were placed in two-layer pattern with Overstitch system (Apollo Endosurgery). A last verification with contrast injection was made to ensure the wall defect closure.